Create a bespoke document in minutes, or upload and review your own.
Get your first 2 documents free
Your data doesn't train Genie's AI
You keep IP ownership of your information
Sick Pay Form
I need a sick pay form for employees eligible after 3 months of service, covering up to 10 sick days per year, with a requirement for a doctor's note after 3 consecutive days.
What is a Sick Pay Form?
A Sick Pay Form documents time off taken due to illness or injury and helps process payment for those missed workdays. Employees fill out these forms to request paid sick leave, providing details like dates absent, reason for leave, and any supporting medical documentation.
Under federal and state sick leave laws, these forms help employers track sick time usage, ensure compliance with paid time off policies, and maintain accurate payroll records. Many companies require submission within specific timeframes after returning to work, allowing them to properly calculate sick pay benefits and meet their legal obligations for leave administration.
When should you use a Sick Pay Form?
Submit a Sick Pay Form as soon as you return to work after taking sick leave, especially if you were out for more than one day. Many employers require these forms within 48-72 hours of your return to ensure timely processing of sick pay benefits and proper documentation of your absence.
File this form when you need paid time off for personal illness, medical appointments, or to care for sick family members under FMLA guidelines. Keep copies of any doctor's notes or medical certificates handy ��������������������������� your employer might need these to verify longer absences and process your sick pay correctly through payroll.
What are the different types of Sick Pay Form?
- Standard Form: Basic sick pay request forms cover short-term illness, capturing dates, reason for absence, and employee details
- Extended Leave Form: Detailed versions for longer absences include medical documentation requirements and FMLA compliance sections
- Intermittent Leave Form: Specialized format for recurring medical conditions or treatments, tracking multiple shorter absences
- Digital Submission Forms: Online versions integrated with HR systems for faster processing and automated record-keeping
- Industry-Specific Forms: Modified versions meeting unique requirements for healthcare, education, or government sectors
Who should typically use a Sick Pay Form?
- Employees: Submit Sick Pay Forms when requesting paid time off for illness, providing required documentation and dates of absence
- HR Managers: Review and process forms, ensure compliance with company policies and labor laws, maintain records
- Supervisors: Verify absences, approve requests, and manage workplace coverage during employee sick leave
- Payroll Staff: Calculate and process sick pay based on submitted forms and company policies
- Benefits Administrators: Track sick leave usage, manage FMLA compliance, and coordinate with insurance providers when needed
How do you write a Sick Pay Form?
- Personal Details: Gather employee name, ID number, department, and direct supervisor information
- Absence Dates: Note exact dates and times of sick leave, including partial days if applicable
- Medical Documentation: Collect doctor's notes or medical certificates for absences over three days
- Company Policy: Review your organization's sick leave policy and accrual rates
- Pay Calculation: Document regular hourly rate or salary for accurate sick pay computation
- Return Date: Specify when you'll resume work and any work restrictions if applicable
What should be included in a Sick Pay Form?
- Employee Information: Full legal name, employee ID, hire date, and employment status
- Leave Details: Specific dates requested, type of sick leave (personal/family), and return date
- Medical Verification: Space for doctor's certification requirements under FMLA guidelines
- Pay Calculation: Clear formula for sick pay computation based on regular wages
- Privacy Statement: HIPAA-compliant clause protecting medical information
- Authorization: Signature lines for employee, supervisor, and HR representative with dates
- Policy Reference: Citation of company sick leave policy and applicable state laws
What's the difference between a Sick Pay Form and a Return to Work Form?
A Sick Pay Form differs significantly from a Return to Work Form, though they're often used in sequence. While both relate to employee absences, their purposes and timing are distinct.
- Primary Purpose: Sick Pay Forms request and document paid leave during illness, while Return to Work Forms certify an employee's fitness to resume duties
- Timing of Use: Submit Sick Pay Forms at the start or during illness; Return to Work Forms come into play before returning to the workplace
- Required Documentation: Sick Pay Forms focus on absence dates and pay calculations; Return to Work Forms typically need medical clearance and work restriction details
- Legal Requirements: Sick Pay Forms align with paid leave laws and payroll regulations; Return to Work Forms address workplace safety and liability concerns
Download our whitepaper on the future of AI in Legal
³Ò±ð²Ô¾±±ð’s Security Promise
Genie is the safest place to draft. Here’s how we prioritise your privacy and security.
Your documents are private:
We do not train on your data; ³Ò±ð²Ô¾±±ð’s AI improves independently
All data stored on Genie is private to your organisation
Your documents are protected:
Your documents are protected by ultra-secure 256-bit encryption
Our bank-grade security infrastructure undergoes regular external audits
We are ISO27001 certified, so your data is secure
Organizational security
You retain IP ownership of your documents
You have full control over your data and who gets to see it
Innovation in privacy:
Genie partnered with the Computational Privacy Department at Imperial College London
Together, we ran a £1 million research project on privacy and anonymity in legal contracts
Want to know more?
Visit our for more details and real-time security updates.
Read our Privacy Policy.